Individual provider Active NPI

Tu Anh Nguyen, D.D.S

  • General Practice Dentistry
  • Lawrenceville, GA
National Provider Identifier
1346289139
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012647 Issued in GA
Practice address
1154 Lawrenceville Hwy
Ste. 102
Lawrenceville, GA 30045-2434
Phone
(770) 277-0774
Fax
(770) 277-0520
NPI assigned
Jun 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN012647 GA Primary
General Practice Dentistry 1223G0001X 50335 CA

Addresses

Primary practice location

1154 Lawrenceville Hwy
Ste. 102
Lawrenceville, GA 30045-2434

Mailing address

1154 Lawrenceville Hwy
Ste. 102
Lawrenceville, GA 30045-2434
Phone (770) 277-0774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN012647GAMDGeneral Practice Dentistry
50335CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
At Dental, P.C General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346289139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 LAWRENCEVILLE HWY",
            "address_2": "STE. 102",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452434",
            "telephone_number": "770-277-0774",
            "fax_number": "770-277-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LAWRENCEVILLE HWY",
            "address_2": "STE. 102",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452434",
            "telephone_number": "770-277-0774",
            "fax_number": "770-277-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TU",
        "middle_name": "ANH",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012647",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.